Clinical incidents associated with potentially inappropriate medications in intensive care units: integrative review

Authors

DOI:

https://doi.org/10.21727/rpu.v16i2.5022

Abstract

Objective: to identify in the literature clinical incidents generated by the use of potentially inappropriate medications in patients in intensive care units. Method: this is an integrative review carried out in six stages, with a bibliographic survey in four databases, on May 18, 2023. Studies carried out on critically ill patients over 18 years of age and that address related clinical incidents were included. the use of potentially inappropriate medications. Results: 220 studies were identified, after applying the eligibility criteria, 12 articles were included. The studies total 25 different clinical incidents related to the use of potentially inappropriate medications. Conclusion: The main clinical incidents identified were prolonged hospitalization, hypoglycemia, diarrhea and constipation. It is recommended that the multidisciplinary team identify the main potentially inappropriate medications in order to increase deprescribing and reduce clinical incidents.

Keywords: Drug-Related Side Effects and Adverse Reactions; Potentially Inappropriate Medication List; Intensive Care Units; Nursing; Patient Safety.

Downloads

Download data is not yet available.

Author Biographies

Nayana Messina, Universidade do Estado do Rio de Janeiro (UERJ)

Mestranda pelo Programa de Pós-Graduação em Enfermagem pela Universidade do Estado do Rio de

Janeiro (UERJ).

Flavia Giron Camerini, Universidade do Estado do Rio de Janeiro (UERJ)

Doutora em Enfermagem. Professora Adjunta do Departamento Médico Cirúrgico, Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro (UERJ), RJ, Brasil.

Luiza Alcantara de Oliveira, Universidade do Estado do Rio de Janeiro (UERJ)

Mestranda pelo Programa de Pós-Graduação em Enfermagem pela Universidade do Estado do Rio de

Janeiro (UERJ), RJ, Brasil.

Emanuelly Almeida da Silva, Universidade do Estado do Rio de Janeiro (UERJ)

Graduanda em Enfermagem. Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro

(UERJ), RJ, Brasil.

Cintia Silva Fassarella, Universidade do Estado do Rio de Janeiro (UERJ)

Doutora em Enfermagem. Professora Adjunta do Departamento Médico Cirúrgico, Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro (UERJ), RJ, Brasil.

Danielle de Mendonça Henrique, Universidade do Estado do Rio de Janeiro (UERJ)

Doutora em Enfermagem. Professora Adjunta do Departamento Médico Cirúrgico, Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro (UERJ), RJ, Brasil.

Downloads

Published

2025-07-19

Issue

Vol. 16 No. 2 (2025): Revista Pró-UniverSUS V 16 N 2

Section

Nursing

License

Copyright (c) 2025 Nayana Messina, Flavia Giron Camerini, Luiza Alcantara de Oliveira, Emanuelly Almeida da Silva, Cintia Silva Fassarella, Danielle de Mendonça Henrique

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which allows sharing the work with acknowledgement of authorship and initial publication through this journal.

This license lets others distribute, remix, adapt and create upon your work, even commercially, as long as they credit you for the original creation. It is the most flexible license of all available. It is recommended for maximizing the dissemination and use of the licensed materials.

Authors are permitted to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g. by posting it to an institutional repository or as a chapter in a book), with acknowledgement of the work's authorship and initial publication in this journal.

See the full legal text of the license at: https://creativecommons.org/licenses/by/4.0/